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骨科医疗服务提供者对虚拟医疗的看法:哪些提供者更喜欢虚拟医疗?

Orthopaedic provider perceptions of virtual care : which providers prefer virtual care?

作者信息

Yedulla Nikhil R, Montgomery Zachary A, Koolmees Dylan S, Battista Eric B, Day Charles S

机构信息

Department of Orthopaedics, Henry Ford Health System, Detroit, Michigan, USA.

Wayne State University School of Medicine, Detroit, Michigan, USA.

出版信息

Bone Jt Open. 2021 Jun;2(6):405-410. doi: 10.1302/2633-1462.26.BJO-2020-0198.R1.

Abstract

AIMS

The purpose of our study was to determine which groups of orthopaedic providers favour virtual care, and analyze overall orthopaedic provider perceptions of virtual care. We hypothesize that providers with less clinical experience will favour virtual care, and that orthopaedic providers overall will show increased preference for virtual care during the COVID-19 pandemic and decreased preference during non-pandemic circumstances.

METHODS

An orthopaedic research consortium at an academic medical system developed a survey examining provider perspectives regarding orthopaedic virtual care. Survey items were scored on a 1 to 5 Likert scale (1 = "strongly disagree", 5 = "strongly agree") and compared using nonparametric Mann-Whitney U test.

RESULTS

Providers with less experience were more likely to recommend virtual care for follow-up visits (3.61 on the Likert scale (SD 0.95) vs 2.90 (SD 1.23); p = 0.006) and feel that virtual care was essential to patient wellbeing (3.98 (SD 0.95) vs 3.00 (SD 1.16); p < 0.001) during the pandemic. Less experienced providers also viewed virtual visits as providing a similar level of care as in-person visits (2.41 (SD 1.02) vs 1.76 (SD 0.87); p = 0.006) and more time-efficient than in-person visits (3.07 (SD 1.19) vs 2.34 (SD 1.14); p = 0.012) in non-pandemic circumstances. During the pandemic, most providers viewed virtual care as effective in providing essential care (83.6%, n = 51) and wanted to schedule patients for virtual care follow-up (82.2%, n = 50); only 10.9% (n = 8) of providers preferred virtual visits in non-pandemic circumstances.

CONCLUSION

Orthopaedic providers with less clinical experience seem to favourably view virtual care both during the pandemic and under non-pandemic circumstances. Providers in general appear to view virtual care positively during the pandemic but are less accommodating towards it in non-pandemic circumstances. Cite this article:  2021;2(6):405-410.

摘要

目的

我们研究的目的是确定哪些骨科医疗服务提供者群体倾向于虚拟医疗,并分析骨科医疗服务提供者对虚拟医疗的总体看法。我们假设临床经验较少的医疗服务提供者会倾向于虚拟医疗,并且总体而言,骨科医疗服务提供者在新冠疫情期间对虚拟医疗的偏好会增加,而在非疫情期间偏好会降低。

方法

一个学术医疗系统中的骨科研究联盟开展了一项调查,以考察医疗服务提供者对骨科虚拟医疗的看法。调查项目采用1至5分的李克特量表评分(1 = “强烈反对”,5 = “强烈同意”),并使用非参数曼-惠特尼U检验进行比较。

结果

经验较少的医疗服务提供者在疫情期间更有可能推荐虚拟医疗用于随访(李克特量表评分为3.61(标准差0.95),而2.90(标准差1.23);p = 0.006),并且认为虚拟医疗对患者健康至关重要(3.98(标准差0.95),而3.00(标准差1.16);p < 0.001)。经验较少的医疗服务提供者在非疫情期间也认为虚拟就诊提供的护理水平与面对面就诊相似(2.41(标准差1.02),而1.76(标准差0.87);p = 0.006),并且比面对面就诊更节省时间(3.07(标准差1.19),而2.34(标准差1.14);p = 0.012)。在疫情期间,大多数医疗服务提供者认为虚拟医疗在提供基本护理方面是有效的(83.6%,n = 51),并希望为患者安排虚拟医疗随访(82.2%,n = 50);在非疫情期间,只有10.9%(n = 8)的医疗服务提供者更喜欢虚拟就诊。

结论

临床经验较少的骨科医疗服务提供者在疫情期间和非疫情期间似乎都对虚拟医疗持积极态度。总体而言,医疗服务提供者在疫情期间对虚拟医疗持积极看法,但在非疫情期间则不太接受。引用本文:2021;2(6):405-410。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7d4/8244795/856b137a1d6a/BJO-2-405-g0001.jpg

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